Mayeso akulu kuti awone chiwindi

Zamkati

• 1. Mayeso amwazi: AST, ALT, Gamma-GT
• 2. Kuyerekeza mayeso
• 3. Kutupa

Kuti awone thanzi la chiwindi, adokotala amatha kuyitanitsa kuyesa magazi, ma ultrasound komanso biopsy, chifukwa awa ndi mayeso omwe amapereka chidziwitso chofunikira pakusintha kwa chiwalo chimenecho.

Chiwindi chimatenga nawo gawo pazakudya ndi kagayidwe kazakudya ndipo, kuphatikizaponso, ndi kudzera momwe mankhwala olowerera amapitilira, mwachitsanzo. Chifukwa chake, pakakhala vuto linalake m'chiwindi, munthuyo amatha kukhala ndi zovuta zambiri kugaya mafuta moyenera, kufuna kutsatira chakudya chapadera, kuwonjezera popewa kugwiritsa ntchito mankhwala popanda mankhwala. Onetsetsani ntchito ya chiwindi.

Mayeso omwe dokotala angakulamulireni kuti awone thanzi lanu ndi monga:

1. Mayeso amwazi: AST, ALT, Gamma-GT

Nthawi zonse pomwe dokotala amafunika kuyesa thanzi la chiwindi amayamba ndikulamula kuti ayesedwe magazi otchedwa Hepatogram, omwe amawunika: AST, ALT, GGT, albumin, bilirubin, lactate dehydrogenase ndi nthawi ya prothrombin. Mayesowa nthawi zambiri amalamulidwa palimodzi ndipo amapereka chidziwitso chofunikira chokhudzana ndi chiwindi, chomwe chimasinthidwa pakakhala chovulala, popeza ndizolemba zovuta. Phunzirani kumvetsetsa mayeso a ALT ndi mayeso a AST.

Mayeserowa amathanso kulamulidwa ngati munthuyo ali ndi zizindikiro zakukhudzidwa ndi chiwindi monga khungu lachikaso, mkodzo wakuda, kupweteka m'mimba kapena kutupa m'chiwindi. Komabe, adotolo amathanso kuyitanitsa mayesowa akafunika kuwunika chiwindi cha munthu yemwe amamwa mankhwala tsiku lililonse, kumwa zakumwa zoledzeretsa zambiri kapena ali ndi matenda omwe amamukhudza mwachindunji kapena m'njira zina.

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2. Kuyerekeza mayeso

Ultrasonography, elastography, computed tomography ndi maginito resonance amatha kuwonetsa kudzera pazithunzi zomwe zimapangidwa pakompyuta momwe kapangidwe ka chiwindi kamapezekera, zomwe zimapangitsa kuti katswiriyo azindikire kupezeka kwa zotupa kapena zotupa. Kungakhalenso kothandiza, nthawi zina, kuyesa momwe magazi amapitira kudzera m'chiwalo.

Nthawi zambiri, dokotala amalamula mayeso amtunduwu mayeso a magazi akakhala achilendo kapena chiwindi chikatupa kwambiri. Ikhozanso kuwonetsedwa pambuyo pangozi yamagalimoto kapena yamasewera pakawonongedwa ziwalo.

3. Kutupa

Biopsy nthawi zambiri imafunsidwa pomwe dotolo wapeza zosintha zofunika pamayeso, monga kuwonjezeka kwa ALT, AST kapena GGT, makamaka pamene chotupa kapena chotupa chimapezeka m'chiwindi nthawi ya ultrasound.

Kuyezetsa kumeneku kumatha kuwonetsa ngati maselo a chiwindi ndi abwinobwino, amakhudzidwa kwambiri ndi matenda, monga chiwindi, kapena ngati pali maselo a khansa, kuti matendawa athe kupangidwa ndikuyenera kulandira chithandizo choyenera. Biopsy imachitika ndi singano yomwe imalowa pakhungu ndikufika pachiwindi, ndipo zidutswa zazing'ono za chiwalo zimachotsedwa, zomwe zimatumizidwa ku labotale ndikuwunikiridwa kudzera pakuwona pansi pa microscope. Onani zomwe zachitika komanso momwe chiwindi cha chiwindi chimachitikira.